Organization Active NPI

Tremonton Community Pharmacy Inc

  • Community/Retail Pharmacy
  • Tremonton, UT
National Provider Identifier
1063400448
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TREMONTON COMMUNITY PHARMACY INC
Practice address
44 E Main St
Tremonton, UT 84337-1624
Phone
(435) 257-5249
Fax
(435) 257-5481
NPI assigned
Oct 11, 2005
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Larry Brent Durrant, RPH
Title
Owner President
Phone
(435) 757-1355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2755121703 UT
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

44 E Main St
Tremonton, UT 84337-1624

Mailing address

44 E Main St
Tremonton, UT 84337-1624
Phone (435) 257-5249

Other identifiers 2

IdentifierTypeStateIssuer
4608026OtherNABP
2755121703OtherUTSTATE PHARMACY

National Provider Directory

National Provider Directory

Locations

44 E Main St
Tremonton, UT 84337
Phone (435) 257-5249

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1063400448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E MAIN ST",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843371624",
            "telephone_number": "435-257-5249",
            "fax_number": "435-257-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E MAIN ST",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843371624",
            "telephone_number": "435-257-5249",
            "fax_number": "435-257-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREMONTON COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "DURRANT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "435-757-1355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "2755121703",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4608026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY",
            "identifier": "2755121703",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremonton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.